Individual
ADIANEZ CORREA PRIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 OAK ST, HOLLYWOOD, FL 33023-1360
(786) 779-0433
Mailing address
15 OAK ST, HOLLYWOOD, FL 33023-1360
(786) 779-0433
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-116765
FL
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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